Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
Delta, UT
See all hospitals reporting HCPCS J0665 →Price type
IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital’s median price of $13 is 283% above the median hospital's median price ($3), higher than 70% of the 2,091 hospitals reporting HCPCS J0665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 40 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 2 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 3 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 4 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 5 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 6 | Regence medadvantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 7 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $4.33 | $5.40 | $3.48 – $9.42 |
| 8 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $12.05 | $15.03 | $9.68 – $26.21 |
| 9 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 10 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 11 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 12 | Aetna standard facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 13 | Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 14 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 15 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 16 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 17 | Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 18 | Cigna ppo/epo facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 19 | Molina chip facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 20 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 21 | Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 22 | Molina marketplace facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 23 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 24 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
| 25 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $12.86 | $16.04 | $10.34 – $27.98 |
Last updated: Jul 28, 2026
See Bupivacaine local anesthetic injection, preservative-free pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.